Shar Pei Entropion (... modified brow suspension)

RE: Shar Pei Entropion (... modified brow suspension)

Beats — Tue, 07 Jan 2020 09:05:12 GMT

Thanks Rob! Really appreciate that!

RE: Shar Pei Entropion (... modified brow suspension)

Robert Lowe — Mon, 06 Jan 2020 22:25:23 GMT

This is a link to one of Ingrid's lecture notes. It's in German but mainly pictures and very self explanatory for the modified Stades at the end of the notes. https://www.tieraugen.com/wp-content/uploads/2017/03/EntropiumOP.pdf

RE: Shar Pei Entropion (... modified brow suspension)

Beats — Fri, 03 Jan 2020 19:32:12 GMT

[quote userid="2486" url="~/001/veterinary-clinical/small-animal/sa-ophthalmology/f/discussions/28590/shar-pei-entropion-modified-brow-suspension/216240"]A Stades technique to lift and evert the upper eyelid with a modification described by Allgower to include the protuberance of skin dorsomedially[/quote]

Thanks Rob!

Do you have a recommended reference with diagrams or video of this - I've never seen Stades technique in action and find it hard to visualise precisely in my minds eye.

Re this puppy: I cut away the skin folds (3-point stellate rhytidectomy I think) that were causing the drooping upper eyelid and hasn't needed any other treatment to date, although there is apparently still some upper and lower lid entropion I think - just doesn't seem to be causing any problems.

Next up plan is to open up ear canals when 7 to 9 months old. 6 months now and been managing with osurnia in meantime.

RE: Shar Pei Entropion (... modified brow suspension)

Robert Lowe — Fri, 18 Oct 2019 21:11:01 GMT

Point 1.

A Stades technique to lift and evert the upper eyelid with a modification described by Allgower to include the protuberance of skin dorsomedially. This is our go to procedure and we will rarely need to deviate from this.

We probably treat 10-15 cases per year like this including older spaniels - it works really well for them as well.

We like it as it preserves the folds, doesn’t leave suture material in place permanently and keeps a full range of eyelid movement

Point 2

i haven’t got a clue either and I have listened to the authors lecture on it. I have done slightly different variations on this using a mesh. It takes ages.

Also this is the added bonus of the Stades. It is really quite quick as it involves excision of skin and one line of continuous sutures.